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Vermont rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.75 / $582.51 / $769.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.66 / $885.09 / $1,501.41
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.93 / $903.64 / $1,501.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.97 / $927.65 / $2,741.40